Slashdot Mirror


Open Source Drug Discovery Prompts a Fundamental Heart Failure Breakthrough

An anonymous reader writes "Case-Western researchers, led by Saptarsi Haldar MD., have made a fundamental discovery that could prevent heart failure after reviewing the "chemical recipe" for a cancer-treating molecule made open source by Jay Bradner MD. (whose TED Talk articulates the open source approach to drug discovery) This cross-discipline discovery, which was published in the August 2013 issue of CELL, is a fundamental breakthrough in heart failure research, and highlights the value of an open source approach outside of software development."

26 of 160 comments (clear)

  1. Awe Man! by Anonymous Coward · · Score: 5, Funny

    What's this?! Everyone jumping on the Socialist-Commie-Pinko Open movement?!?

    WTF!

    Before you know it, IP with be severely weakened and all of us will have increased standard of living - except for the poor poor billionaires!

    Won't someone think of the billionaires?!

    Without the billionaires lording over us, what will inspire us?

    We need IP to keep up the carriers to entry! We need to impede progress in order to preserve the billionaires! Our way of life will be destroyed!

    1. Re:Awe Man! by bill_mcgonigle · · Score: 4, Insightful

      Before you know it, IP with be severely weakened and all of us will have increased standard of living - except for the poor poor billionaires!

      Look, if we don't run our society according to everything that seemed like a good idea in 1781, nothing will ever get invented.

      --
      My God, it's Full of Source!
      OUTSIDE_IP=$(dig +short my.ip @outsideip.net)
    2. Re:Awe Man! by mspohr · · Score: 3, Insightful

      I'm not sure that it was a good idea even in 1781.
      Basically, the mercantile class wrote the constitution and early laws. The American Revolution was a mercantile uprising against the "tyranny" of England and it's taxes and regulations.
      Today, of course, the mercantile "class" are the corporations who have completely captured the government.
      Numerous studies have demonstrated that patents slow the process of invention and only provide benefits for the entrenched last generation of science and technology.

      --
      I don't read your sig. Why are you reading mine?
    3. Re:Awe Man! by ultranova · · Score: 5, Insightful

      The companies that those billionaires own are what drive the economy and do things like grow and distribute our food.

      No, the people working the fields grow the food and the people driving the trucks and manning the cash register distribute it. And even the organizational work is mostly done by middle managers. All the billionaires do is get a cut of other people's work and occasionally destroy their livelihoods.

      Sure, I can read an open-source book or listen to open-source music, but typically I prefer the commercial products.

      And you think it takes a billionaire to write a book or a song?

      In other words, if you give a man a hammer, all he will see are nails.

      And if you give him a billion dollars, all he will see are the serfs he's entitled to.

      --

      Forget magic. Any technology distinguishable from divine power is insufficiently advanced.

    4. Re:Awe Man! by Pinky's+Brain · · Score: 2

      It's a bit trendy to hang the open source label on it, but that's TED for ya ... still there are differences between what was possible in the old days and what is possible now.

      Publishing reproducible research wasn't really possible in the past ... other researchers could beg for all the lab notes, good description of the lab set up etc etc etc to be send by snail mail, but it couldn't really be published. Only the tiny and most of the time insufficient bit of information from the paper was actually published. Now publishing reproducible research has become possible ... unfortunately only a handful of people are doing it.

  2. Summary's not correctly worded by knotprawn · · Score: 2
    From the article

    Researchers from Case Western Reserve University School of Medicine and the Dana-Farber Cancer Institute have made a fundamental discovery relevant to the understanding and treatment of heart failure

    It does not say "prevent" heart-failure, anywhere in the article. It is implied in the article that treatment could be greatly improved by this therapy, however, I'm not sure where the line in the summary about prevention comes from.

  3. Re:More pointless 'research' by demonlapin · · Score: 2

    What's the deal with all the crazy vegans around here lately? Go to your local hippie store and look at the vegans. Then go to your local CrossFit and look at the paleo eaters. Which group looks healthier to you?

  4. Re:More pointless 'research' by lxs · · Score: 2

    A cake made without eggs or butter? Who in their right mind would eat such an abomination?

  5. TED talk explains how the OSS philosophy applies by tepples · · Score: 5, Informative
    Anonymous Coward wrote:

    What does it mean for a molecule to have source?

    It can refer to what Eric S. Raymond referred to as the "bazaar" model, or it can refer to a license that grants rights to the public analogous to those listed in the DFSG or FSF definition of free software. I see hints of bazaar in the transcript of the TED talk:

    dissatisfied with the performance and quality of these medicines, I went back to school in chemistry with the idea that perhaps by learning the trade of discovery chemistry and approaching it in the context of this brave new world of the open-source, the crowd-source, the collaborative network that we have access to within academia, that we might more quickly bring powerful and targeted therapies to our patients.

    And here I see the spirit of publishing a discovery instead of locking it up behind secrecy and exclusive rights:

    We published a paper that described this finding at the earliest prototype stage. We gave the world the chemical identity of this molecule, typically a secret in our discipline. We told people exactly how to make it.

    This leads up to the benefits of bazaar and publication:

    the science that's coming back from all of these laboratories about the use of this molecule has provided us insights that we might not have had on our own. Leukemia cells treated with this compound turn into normal white blood cells.

    And finally, a direct answer to your question as to what is the source code of a molecule:

    This string of letters and numbers and symbols and parentheses that can be texted, I suppose, or [microblogged] worldwide, is the chemical identity of our pro compound.

  6. Re:Cell by demonlapin · · Score: 2

    So does the summary, but the paper is behind Cell's paywall, so it really isn't all that open-source, is it?

  7. Re:More pointless 'research' by bill_mcgonigle · · Score: 3, Informative

    Most heart disease is caused by eating animal products (which humans aren't supposed to eat), lack of exercise, and smoking.

    That was considered very wise in 1982. Today we know that the main nutritional problem is excess fructose, which the liver turns straight into triglycerides, which stick to the arterial walls, and form nasty, sticky plaques. But go ahead and guzzle agave nectar - it's pure fructose, vegan, and trendy. :P

    Exercise, sleep, low stress, and of course not smoking are also key components to a healthy lifestyle (diet is just one part).

    --
    My God, it's Full of Source!
    OUTSIDE_IP=$(dig +short my.ip @outsideip.net)
  8. Re:More pointless 'research' by Anonymous Coward · · Score: 2, Funny

    Dilhole... Humans are omnivores - we can eat anything. Well not as much anything as say goats (who will eat tin cans), but pretty much anything.

  9. Well Duh: Open Source is better by cellocgw · · Score: 2

    The only thing drug patents do is make drug companies rich. If we as a nation (USAians here) truly wanted to maximize progress in medical treatment, we'd nationalize all drug research. Don't even bother arguing that profit motivates progress. The overwhelming majority of researchers and engineers are motivated by the joy of success, not crushing the opposition and getting filthy rich.
    As we've seen over and over again in nearly every technology area, the greatest progress occurs either in "open source" areas or when patents expire and everyone can innovate.
    (Yes, I'm a socialist. No, I don't think that in any way invalidates the fundamental claims I'm making here.)

    --
    https://app.box.com/WitthoftResume Code: https://github.com/cellocgw
    1. Re:Well Duh: Open Source is better by the+gnat · · Score: 5, Informative

      Don't even bother arguing that profit motivates progress. The overwhelming majority of researchers and engineers are motivated by the joy of success, not crushing the opposition and getting filthy rich.

      The problem with drug development is that the huge majority of efforts end in failure, and depending on how far along the pipeline the drugs are, these failures can be painfully expensive. Truth is, it's not really all that difficult or costly to come up with a nanomolar inhibitor for some key regulatory protein involved in heart disease or cancer. But that doesn't mean you've cured the disease. You might synthesize a molecule that completely shuts down your target protein, and start doing in-vivo studies. Here's where the bad shit starts: maybe your compound can't get past the cell membrane. Or maybe it gets shunted to the liver and immediately degraded - unless it fucks up the liver, of course (which one of the major reasons for negative drug interactions, and why many medications have labels saying "do not consume alcohol"). Or let's say it gets to exactly where it needs to be, but it also binds with high affinity to seven other proteins, three of which we know nothing about, and all of these are essential for other processes. So you come in the next morning, and half of your test mice are belly-up, another quarter are bleeding rectally, and the remainder will promptly croak if you feed them Tylenol.

      If you're really unlucky, your drug passes the animal models easily, and makes it into clinical trials with actual sick humans. If you're really, really unlucky, you make it all the way to Phase III trials, with thousands of patients, and only then do you discover that either a) your drug doesn't really work as well as it needs to, or b) a large fraction of patients manifest severe side effects over time, or c) both. At this point the cumulative expense of developing this candidate may be hundreds of millions of dollars. And companies fail at this stage all the time; it's always big news when this happens, and their market capitalization takes it in the ass.

      Now, I don't feel terribly sympathetic for drug companies as a whole; they do some pretty sleazy shit, and have paid some well-deserved fines for their malfeasance. But I would find it incredibly depressing to sink years of my life (and millions of dollars of investor money) into a promising clinical candidate, only to have it fail just shy of the endpoint. I'm an academic scientist, and this is one of the reasons why I've stayed in academia so long, for all of its faults. I get paid less, but I don't have to devote myself to narrowly-scoped projects which have a depressingly high risk of failure. If I had to start doing drug discovery as part of some newly nationalized research plan, I would leave without hesitation. Sorry, but if you want me to spend my life doing something that mind-numbing and soul-crushing, you'd fucking better pay decently me for it. The overwhelming majority of people who know anything about drug discovery will tell you the same thing.

      PS #1: Please, explain how the extraordinary improvement in computer hardware since WWII was encouraged by lack of patents. Another counter-example: genome sequencing technology has become orders of magnitude faster in the last dozen or so years. (No, I'm not arguing that we should patent everything; I'm still against patents on software and gene sequences.)

      PS #2: Don't assume that scientists aren't motivated by crushing the opposition. That's part of the joy of success, and while we may not be doing it for the money, our egos are at least as big as everyone else's.

    2. Re:Well Duh: Open Source is better by pepty · · Score: 2

      The problem is the general rules underlying the systems don't point you at drugs that work, they just point you away from some of the ones that don't. Once you are at the level of drug design you are dealing with lots of specific cases that resulted from billions of years of evolutionary ad-hoc.

      Reproducibility is currently a big movement in academic chemistry/biology labs, and on the Pharma end most discoveries like the one above die during target validation due to not being reproducible, not being reproducible in humans, or just not being relevant in humans.

      Also check out Albert Laszlo Barabasi. I agree with him, this entire approach of swapping out one factor of a time is flawed. You have 20k + genes, how many different combinations of those do we need to test to understand how the system works?

      That's not the right question.

      Right now we can't predict how the product of a single gene (a protein) will behave in the presence of a novel pharmaceutical compound. We can't predict where it will bind, how it will affect activity, whether it will have an intended effect. Thinking of 20 thousand genes as 20 thousand bits of data or 20 thousand simple predictable machines won't work.

  10. Re:TED talk explains how the OSS philosophy applie by __aaltlg1547 · · Score: 3, Insightful

    When it comes to science, there is no need to license a discovery to make it available to all. Simply publish and don't attempt to patent it. Scientific knowledge is public once published.

  11. Re:TED talk explains how the OSS philosophy applie by bunratty · · Score: 3, Insightful

    Absolutely. And guess what would happen to any drug company that did not patent their drugs? How would they be able to compete with companies that did not have to pay the hundreds of millions in research to get the drug approved? The only reasonable alternative to patent systems that I can see are (a) trade secrets, which means that the discovery is not made available to all, or (b) go back to a patron system where a generous benefactor foots the bill for research, in which case the research that the scientists do is only what the benefactor wants, which may be the ultimate cure for baldness or a little dick. I think patents are better than the alternatives. That is, unless you can come up with a better idea. Just be sure to think it through...

    --
    What a fool believes, he sees, no wise man has the power to reason away.
  12. Re:Is another myth about to bite the dust? by ColdWetDog · · Score: 2

    With 3D printing edging into device manufacturing space, just about everything is going to face free/public competition, not the least of which will be energy production. Big business with its dependency on having the public dependent on them has its days numbered. I look forward to those days... I wonder if I will live that long?

    No you won't.

    Because 3D printing isn't going to replace anything much beyond the utensil selection in Walmart for the foreseeable future. Hell, you'll be lucky if you can shoot yourself in head with a 3D printed object in your lifetime. You'd be most likely to blow up your hand and have to go the the hospital and get treated with stuff that's been woven, extruded, grown, spun or glued.

    --
    Faster! Faster! Faster would be better!
  13. Re:TED talk explains how the OSS philosophy applie by the+gnat · · Score: 2

    trade secrets, which means that the discovery is not made available to all

    Which is extraordinarily difficult for drugs, because everyone will simply buy a bunch of their competitors' pills, and figure out exactly what they're made of down to atomic detail. A typical university chemistry lab could do this in a few days. There are some aspects that are more tricky - the exact packaging is sometimes key to getting the drug absorbed by the body at the desired rate, and the chemical synthesis can be messy - but figuring these out is still way cheaper than coming up with your own drug.

  14. Re:Animal Studies & then years of human trials by ColdWetDog · · Score: 3, Informative

    Is it going to help or hurt?

    Yes, it's created a lot of interest but that's pretty standard for a molecule that hits a relatively unique molecular pathway. What has happened in the past is that as soon as the basic science gets firmed up, the drug companies wander it and start trailing slightly different molecules (which are patentable). That's where the big money goes.

    By explicitly opening up access to the molecule early, you might find more applications faster and perhaps get more people working on the same receptor system, but the end result is that the drug that treats multiple myeloma will look slightly different from the one that treats heart failure or is used as a male contraceptive. The drug makers will work hard to make them as task specific as possible so they can charge more and control things better. The only possible 'good' outcome (for the open source concept here) would be that the 'generic' bromodomain receptor blocker (JQ1) works equally well for all, doesn't do anything bad in humans (an unlikely scenario - most promising drug candidates die here along with countless dogs, monkeys and other critters) and can be reasonably easily synthesized by the Indian and Chinese generic drug manufacturers and they make a shitload of it.

    Which will get blocked at the border so save us from commie chemicals.

    Grump again.

    --
    Faster! Faster! Faster would be better!
  15. Re:Is another myth about to bite the dust? by King_TJ · · Score: 2

    Well, first of all? Who are these commercial activities you speak of who supposedly claimed quality and value were ONLY achievable via commercial enterprise?

    I can't think of a single business making that claim today? Clearly, technological progress means that ideas starting out as massive, costly endeavors become mundane with time. I remember when recordable CDR technology was brand new, for example. The only people possessing CD writer drives were generally government contractors and educational institutions because the drives themselves were thousands of dollars, with blank media as expensive as $25-30 per disc. They only recorded at 1x speeds, and were all external drives, because any vibration during the recording process ruined the disc. So you had to carefully place the recorder in a spot where it wouldn't get bumped or shake. That's just a small example of a technology everyone takes for granted today. (Can you even buy a CD-ROM reader that doesn't include writing functionality today, if you wanted to??)

    It's this same principle that caused space travel (once thought so complicated and expensive, only Federal government could do anything with it) to become privatized today. It's the reason individuals are now doing DNA splicing in their own homes as hobbies and why 3D printing is becoming something you can do on your own with equipment you build yourself.

    There will always be a use for the resources and capabilities of big business (and arguably even government, at a tier above that -- as a way to get a VERY large project completed by the will of the taxpayer in a certain time-frame). But whatever these entities come up with with eventually trickle down to a more manageable size and scope, suitable for interested individuals to undertake.

  16. Re:Animal Studies & then years of human trials by sjames · · Score: 2

    A back handed benefit is if the rest of the world considers those conditions a thing of the past while Americans are still dying of them. That would certainly bring demands for change that couldn't be fended off for long.

    I do find it interesting that the free trade cheerleaders in DC stop cheering when retired people want to freely buy inexpensive prescription drugs from Canada.

  17. Re: TED talk explains how the OSS philosophy appli by Anonymous Coward · · Score: 2, Informative

    The "patron system" is already in place - the gov't foots the bill for nearly all the research, and private corporations add the last 1% of the bill before patenting and reaping 100% of the profits.

  18. Re: TED talk explains how the OSS philosophy appli by Gavagai80 · · Score: 2

    Perhaps government patents would be a solution. Let the government license its patents freely to education and research but take a percentage of profits for corporate use.

    --
    This space intentionally left blank
  19. Re:Awe Man! (Get your year right!) by Artagel · · Score: 2

    The first patent act was in 1790. The Constitution only permitted Congress to have patents. Congress had to decide to do it.

  20. Re: TED talk explains how the OSS philosophy appli by pepty · · Score: 2

    Bullshit. The vast majority of spending necessary to turn this discovery into a drug hasn't even been started yet. Even in cases where the drug is invented and patented in academia (~15-20% of drugs, and we won't know if that has happened here with JQ1 for at least another 5-10 years), universities license the molecule to a biotech or pharma to move it through clinical trials. The NIH is starting to spend more on translational research (the preclinical/clinical stuff Pharmas typically do), but it will be at least another decade before we can tell if the NIH is doing a better job at it than Pharmas.